Organization Active NPI

Royal Blue Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Port St Lucie, FL
National Provider Identifier
1255160743
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ROYAL BLUE BEHAVIORAL HEALTH, INC
Practice address
1801 SE Hillmoor Dr Ste C-110
Port St Lucie, FL 34952-7575
Phone
(772) 361-8581
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Norialys Fumero, LMHCNPI 1720432131
Title
President
Phone
(727) 361-8581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste C-110
Port St Lucie, FL 34952-7575

Mailing address

644 NE Larkspur LN
Port St Lucie, FL 34983-1231
Phone (305) 879-0565

National Provider Directory

National Provider Directory

Locations

1801 SE Hillmoor Dr
Ste C-110
Port St Lucie, FL 34952
Phone (305) 879-0565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1255160743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 NE LARKSPUR LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831231",
            "telephone_number": "305-879-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE C-110",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527575",
            "telephone_number": "772-361-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL BLUE BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "FUMERO",
        "authorized_official_first_name": "NORIALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-361-8581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.